Use of medication lists: A population-based approach to increase the prevalence of medication lists within a region in Germany. A pre-post study

Seidling, Hanna M.; Mahler, Cornelia; Straßner, Cornelia; Strauß, Beate; Bernhard, Gerda; Szécsényi, Joachim; Haefeli, Walter E.; Wehrmann, Ulrich

doi:10.5414/cp203447

Cited by 10 publications

(5 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The interviewees mentioned residents who knew very well which medicines they were on, and when managing PRNM for this group, they felt more confident reasoning with them if they had updated lists. Patients use medication lists as a communicative device (Seidling et al, 2019), and patients are an important source of information about medications actually in use (Kim et al, 2018). In patient-centered care, involving the resident in decision making is central, and if the resident is able to communicate, the list could be a starting point for discussing why and which PRNM to use.…”

Section: Quality Of Care Under Pressurementioning

confidence: 99%

Medication Safety in Municipal Health and Care Services

2022

View full text Add to dashboard Cite

show abstract

Section: Quality Of Care Under Pressurementioning

confidence: 99%

Medication Safety in Municipal Health and Care Services

2022

View full text Add to dashboard Cite

show abstract

“…In addition, posters, flyers and brochures were distributed to pharmacies and general practitioners in the region. More details about the interventions have been depicted in the main report of the study [13].…”

Section: Interventionmentioning

confidence: 99%

“…While the descriptive results of the survey and the primary outcome of the study (percentage of citizens using a medication list) have been reported elsewhere [13], this article focusses on the following research questions:…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Medication beliefs and use of medication lists – is there a connection? Results from a before-and-after study in Germany

Straßner

Mahler²,

Strauß

et al. 2020

BMC Geriatr

Self Cite

View full text Add to dashboard Cite

Background: Despite increasing digitalisation the paper-based medication list remains one of the most important instruments for the documentation and exchange of medication-related information. However, even elderly patients with polypharmacy who are at high risk for medication errors and adverse drug events, frequently do not receive or use a complete and comprehensible medication list. Increasing the use of medication lists would be a great contribution to medication safety and facilitate the work of health care providers. Methods: This study is related to the project MeinPlan (MyPlan) which comprised an information campaign on safe drug administration in the Rhine-Neckar region in South Germany. The campaign was evaluated in a before-andafter study based on a survey among two independent, representative samples of citizens over 65 years. In total, 5034 questionnaires were analysed. While the effects of the primary outcome (the percentage of citizens using a medication list) have been reported elsewhere, this analysis focusses on the effects of the campaign on citizens' medication beliefs and assesses whether medication beliefs are associated with the use of medication lists, the use of over-the-counter drugs and the use of the tools offered by the campaign. Medication beliefs were assessed with the German version of the General Beliefs About Medicines Questionnaire (BMQ) which results in subscales for "General Overuse", "General Usefulness" and "General Harm". The use of medication lists and over-the-counter drugs was assessed with self-developed questionnaire items. Results: No statistically significant change in citizens' medication beliefs before and after the campaign could be detected. Likewise, no association between medication beliefs and the use of medication lists, the use of over-thecounter drugs or the use of the tools offered by the campaign could be shown. Conclusions: A campaign focussing on the risks of drug administration did not change the medication beliefs of the targeted population. Moreover, citizens' general medication beliefs do not seem to be crucial for their decision to use a medication list or over-the-counter drugs. Strategies to improve the use of medication lists by patients should focus on other influential factors, such as individual benefits and barriers and socio-psychological factors.

show abstract

“…In a large region in Germany a survey of 5340 citizens ≥ 65 years (4% of the region's population) were asked about medication lists and of the 49% who responded 74% said their general practitioner was involved in issuing their medication list and 9% that the patient was solely responsible for the list. Importantly, only half of the lists had been updated in the previous year [119].…”

Section: Improving Emr Medication Recordingmentioning

confidence: 99%

Optimising Seniors’ Metabolism of Medications and Avoiding Adverse Drug Events Using Data on How Metabolism by Their P450 Enzymes Varies with Ancestry and Drug–Drug and Drug–Drug–Gene Interactions

Thomas

2020

JPM

View full text Add to dashboard Cite

Many individuals ≥65 have multiple illnesses and polypharmacy. Primary care physicians prescribe >70% of their medications and renew specialists’ prescriptions. Seventy-five percent of all medications are metabolised by P450 cytochrome enzymes. This article provides unique detailed tables how to avoid adverse drug events and optimise prescribing based on two key databases. DrugBank is a detailed database of 13,000 medications and both the P450 and other complex pathways that metabolise them. The Flockhart Tables are detailed lists of the P450 enzymes and also include all the medications which inhibit or induce metabolism by P450 cytochrome enzymes, which can result in undertreatment, overtreatment, or potentially toxic levels. Humans have used medications for a few decades and these enzymes have not been subject to evolutionary pressure. Thus, there is enormous variation in enzymatic functioning and by ancestry. Differences for ancestry groups in genetic metabolism based on a worldwide meta-analysis are discussed and this article provides advice how to prescribe for individuals of different ancestry. Prescribing advice from two key organisations, the Dutch Pharmacogenetics Working Group and the Clinical Pharmacogenetics Implementation Consortium is summarised. Currently, detailed pharmacogenomic advice is only available in some specialist clinics in major hospitals. However, this article provides detailed pharmacogenomic advice for primary care and other physicians and also physicians working in rural and remote areas worldwide. Physicians could quickly search the tables for the medications they intend to prescribe.

show abstract

Use of medication lists: A population-based approach to increase the prevalence of medication lists within a region in Germany. A pre-post study

Cited by 10 publications

References 0 publications

Medication Safety in Municipal Health and Care Services

Medication Safety in Municipal Health and Care Services

Medication beliefs and use of medication lists – is there a connection? Results from a before-and-after study in Germany

Optimising Seniors’ Metabolism of Medications and Avoiding Adverse Drug Events Using Data on How Metabolism by Their P450 Enzymes Varies with Ancestry and Drug–Drug and Drug–Drug–Gene Interactions

Contact Info

Product

Resources

About